FDA Cybersecurity Remediation

Don’t Let Cybersecurity Slow Down Your FDA Submission

Do you have an upcoming 510(k), De Novo, or PMA and have inadequate cybersecurity documentation?

Did you submit already, and received major cybersecurity deficiencies in a hold letter?

We help medical device manufacturers secure their devices and rapidly get their FDA Cybersecurity Documentation in order.

We’ve Helped Others Like You

Our cybersecurity process has been used successfully in 6+ FDA submissions since the 2023 FDA Cybersecurity Guidance was finalized, and has been progressively refined with each subsequent submission. Our past experiences have helped us understand FDA’s expectations. That said, FDA’s expectations are continuing to evolve.

We really enjoyed working with Innolitics in reviewing our cybersecurity related documentation and compiling a response to the FDA. We were particularly impressed with their knowledge and expertise in the field, and quick turn-around times to our queries. We look forward to working with Innolitics on future projects.
Andrei Migatchev

Andrei Migatchev

CTO and Co-Founder at Envisionit Deep AI

With updated cybersecurity requirements rolled out during our recent FDA submission, we found ourselves looking for an experienced partner to help us navigate this new environment. We reached out to Innolitics, and they were able to quickly assess our device, develop a strategy, and meet with FDA to find a path forward. Their strategic involvement guided us toward an approach that satisfied the FDA and saved us significant upfront and on-going effort. Innolitics’ combination of software and FDA regulatory expertise was invaluable.
Eric Runde

Eric Runde

COO at Indica Labs

It’s not so bad

Your engineers may have tried working through the FDA guidance and have been overwhelmed. It is a lot to learn.

We’ve been through this before and can show you the way.

We can help push back

If some of your major deficiencies seem excessive, you may be able to push back!

The ideal time to do this is during the FDA meeting within 10 days of receiving the hold letter.

We can usually begin immediately and can quickly put together a strategy.

Our Process

The overall process works as follows:

  1. Initial Gap Analysis and Cost Estimate
  2. Sign Statement of Work
  3. Kickoff
  4. Develop Plan
    1. Full Gap Assessment
    2. Plan for Third-Party Pen Testing
    3. Plan for Unavoidable Software Changes
    4. Plan Documentation Work
  5. Weekly Meetings to Fill in Documentation Gaps
  6. Final Documentation Review
  7. Submit to FDA
  8. Provide Support for AINN related to Cybersecurity
  9. FDA Approval 🎉
  10. Postmarket Cybersecurity Support (optional)

Postmarket Cybersecurity Support

Securing your device only begins with your submission. FDA requires that you follow a secure product development lifecycle, which involves ongoing work in several areas, including:

  • Security risk analysis and threat modeling of software changes
  • Fixing cybersecurity vulnerabilities in dependencies
  • Periodic penetration testing and fixes
  • Generating SBOMs for all released versions
  • Addressing SAST findings

If your team doesn’t have in-house cybersecurity expertise, we can augment your staff with one of our engineers who can keep up with these activities.

FAQ

How much does your typical FDA Cybersecurity Remediation project cost?

It varies quite a bit based on the state of the current documentation and the required speed of completion. If you have completed most documents and are looking for an expert review, the cost tends to be about $15k.

For most prospective documentation projects for class II devices, the cost is often between $30k and $40k.

Note this does not include any software development work for implementing cybersecurity controls, although we can help with that too.

What are your hourly rates?

Please reach out to use and we can provide you a list of our hourly rates for the following roles:

  • Partner
  • Senior Regulatory Consultant
  • Regulatory Consultant
  • Staff Software Engineer
  • Senior Software Engineer
  • Software Engineer
  • Data Annotation Associate

Do you ever work on a fixed-price basis?

No. We do not work on a fixed-price basis. We will provide a detailed cost estimate before we start the project and we’ll provide budget estimates through out the project, however, due to the differing nature of each project its not possible to provide a fixed-price estimate.

Will we need to make changes to our software?

Unless your medical device was designed with security in mind, it's likely that some software changes will be required. Our process is tailored to pinpoint these necessary changes swiftly so your engineers can start working on them. In some instances, we can also provide software engineering support.

Can you provide examples of past projects similar to our product?

Yes! Please review our case studies for a sampling of our past projects. If you don’t see anything relevant, please reach out as only a small number of our projects have case studies.

How does your team provide support with threat modeling?

Yes! We can work your team team to develop a threat model over a sequence of collaborative meetings. As part of threat modeling we’ll develop a set of security architecture views that comply with FDA’s expectations. We’ll guide the team through identifying external connections, assets, threat actors, and threats. Our threat modeling typically uses STRIDE combined with other threat modeling methodologies as is appropriate.

Our threat modeling approach considers the full end-to-end system, including “other functions”.

How does your team provide support with security risk management?

Yes! We can guide the Client’s team through writing an appropriate Security Risk Management Plan, including an appropriate means of assessing security risks.

We can then guide the team through a security risk assessment, using the threat modeling as an input. We’ll work with the team to trace security risks to safety risks. We’ll also help identify relevant cybersecurity controls (see the next section) and help ensure there is proper cybersecurity traceability.

Can your team help us define necessary cybersecurity controls?

Yes! We’ll work with the team to identify appropriate security risk controls against the FDA guidance. FDA typically requires at minimum one or two controls from each control category:

  • authentication
  • authorization
  • cryptography
  • integrity
  • confidentiality
  • detection
  • resiliency & recovery
  • updates.

We’ll work with you to identify the most useful controls that add the minimum necessary software development cost. We also understand what controls FDA expects for different types of devices.

Can your team help implement cybersecurity controls?

In most cases, yes.

How does does your team help with SBOM generation?

We can usually produce an FDA-compliant SBOM with minimal input from your engineers.

Alternatively, we can your engineers set up tools to automatically generate an SBOM as part of their automated build procedures (e.g., using a GitHub Action that produces the SBOM as a build artifact). This second approach takes longer in the short term, but is more efficient long term.

How does your team help with cybersecurity testing?

We can guide your engineering team through the cybersecurity testing process.

  • Requirements Testing: Typically handled through standard Design Controls, however, we can help draft Design Verification Protocols for verification of the Design Control requirements.
  • Vulnerability Testing: We can help select an appropriate vulnerability testing tool and incorporate it into the development workflow. This typically includes analyzing third-party packages for vulnerabilities along with static code analysis.
  • Fuzz Testing: We can help identify appropriate interfaces to fuzz test, define the scope, and can even help implement fuzz testing.
  • Penetration Testing: We can help select an appropriate pen testing vendor and can facilitate communication with the vendor to ensure they provide records that meet the FDA guidance.

We can compile all of these records into tests that are appropriate for the 510(k) submission.

How does your team help with cybersecurity labeling?

We can work with your team to draft the cybersecurity sections of the IFU based on our understanding of the device and previous submissions. This includes:

  • Instructions related to the user’s security responsibilities
  • Security diagrams
  • SBOM access
  • Software update notification
  • Security anomaly reporting and detection
  • Backup and restore functionality

Can you guarantee there won’t be any cybersecurity issues in our submission?

No, we can’t make such a guarantee.

FDA’s expectations are continuing to evolve. Strategies that we’ve seen work previously have stopped working in new submissions. Most teams also can’t implement everything in the guidance (and FDA doesn’t expect you to). We therefore will try to find the right amount of effort required for your device. Sometimes we will undershoot.

Top Cybersecurity Resources

We are experts in our field. Here are a few of our most popular cybersecurity resources:


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